Practices

You are allowed to move. Wiggle your toes, rub one arm from shoulder to hand, put a palm on your chest. A body that is doing something is much easier to feel than one held still.

Sitting perfectly still and waiting for sensation is hard work if you are numb, and it often ends with the conclusion that you are broken at this.…

The unkind thoughts tend to arrive in a handful of familiar shapes. One friend is busy so nobody wants you. One bad mark so you are going to fail everything. Someone did not say hello so they must dislike you.

Rather than fighting the content, try naming the shape: that is the all or nothing one, that is the mind reading one. Most people find they only have…

If rating a feeling out of ten means nothing to you, use something that does. Colour in bubbles, point at a picture, hold your hands apart to show how big it is today.

This began as an adaptation for children, swapping the numbered anxiety ladder for bubbles to colour in, and it is just as useful for anyone who goes…

Worry done on your own goes round in circles. Said out loud to one other person, it usually turns into a problem with edges, and sometimes into a next step.

The rule is short enough to remember at midnight: never worry alone. It does not have to be someone who can fix anything. A friend, a colleague, your…

Setting out to get rid of worry altogether sets you up to fail twice, first at the worry and then at the failing. A kinder aim is to change how you sit with it.

Anxiety and ADHD keep close company, and for most people some background hum does not go away. What can change is what happens next: whether you…

Some of what you believe about yourself is not a distortion. Things really did go wrong, often for years. What can be argued with is the conclusion you drew from them, that this is simply what you are.

Try separating the record from the verdict. The record might be missed deadlines, jobs that ended badly, friendships that faded. The verdict is 'so I…

Worry does two things at once. It makes the problem bigger than it is and it makes you smaller than you are. The second half is the one that usually goes unchallenged.

After years of being told you get things wrong, a low estimate of yourself does not feel like a distortion, it feels like the evidence. So argue with…

Instead of stopping the worry, follow it all the way to the end. And then what happens. And then what. At each step, ask whether you could bear that.

Most catastrophes stop being catastrophes somewhere along the chain, and the place where you say no, I could not bear that, is the useful discovery.…

If you are permanently behind, short of sleep and scrambling, that is not the backdrop to your short fuse. A good deal of the time it is the cause of it.

This is what makes the dull organisational work worth doing, because it buys you something you actually want. A morning that is not a panic leaves…

Putting something off is often fear wearing a lazy costume. If planners have never fixed it for you, that is a clue the trouble is what the task makes you feel, not what your diary looks like.

Ask what you expect to happen when you open it. There is usually something specific in there: that it will be wrong, that it will swallow the whole…

Sometimes both roads carry a cost and neither will feel good. Accept that first, then choose, rather than searching for the option that comes without a sting.

A lot of long deliberation is really a search for the version that leaves nobody upset and nothing lost. When that version does not exist, the search…

Look at what you are actually working for this week. If every item is there to stop someone being cross or something going wrong, you are running on avoidance, and it is exhausting.

Avoidance does get things done, but only at the last moment and only with dread attached, and it leaves behind nothing you wanted. Take one thing off…

If not knowing makes you itch, the work is learning to sit with the itch rather than making it go away. The plan can stay unfinished while you get on with today.

For some of us an unresolved question hums in the background until it is settled, and settling it becomes urgent even when nothing depends on it.…

Very sweet, very salty, very fatty food acts on the reward system in a way that has more in common with a drug than with dinner. Reaching for it when you are flat is self-medication, not greed.

Knowing that changes what you do about it. Counting calories and resolving to try harder both aim at willpower, which was never the mechanism in the…

With gambling machines the pull may be the lights and the noise as much as the chance of winning. That changes what you actually need to stay away from.

If the sensory buzz is doing the work, the triggers are not only the betting shop. They are the phone games built with the same flashing and chiming,…

Ask for the most frightening moment of their life, then the next one down, then the next, until there is a scale running from one to a hundred. You get the ladder you needed, and they get something they did not expect: fear comes in sizes.

Do it slowly and write it in their words rather than yours. Most people arrive believing anxiety is one solid block that either has hold of them or…

Cold water on your face, especially around the eyes and cheeks, slows things down fast. Splash it, or hold a cold flannel there for half a minute.

This is one of the few things that works when you are too far gone to concentrate on anything. It asks for no skill and no privacy beyond a tap. Lean…

Cross your arms over your chest, hook your thumbs together, and tap your shoulders slowly, left then right. You set the pressure and the speed.

Twenty or thirty seconds is enough to feel something shift, and most people find the breath falls into step with the tapping on its own. Warmth in…

When you are helping someone settle, put the technique in their hands rather than your own. They tap themselves, they set the pressure, they stop when they want to.

Being touched by someone else, even kindly and with permission, asks a lot of a person whose body has been handled badly before. Self-administered…

Trace a square in the air with your finger while you breathe: in for four along the first side, hold for four, out for four, hold for four.

The counting slows the breath to roughly the rate that suits the heart best, and the tracing gives your eyes and hand something to do, which is…